RANDOM 2

Question 1

hay fever

Answer 1

rhinitis medicamentosa caused by xylometazoline sudden stop when using regularly for hay fever

montelukast forhay fever causes bad dreams ,interacts with leflunomide

forgetful, anxious,insomnia= with cetrizine

Question 2

fluoxetine

Answer 2

has long half life so NICE suggects 5-6 weeks gap when switvhing fluoxetine to other meds
1 week gap requires with other meds mirtazapine,venlafaxine,sertraline,trazodine

Question 3

methylphenidste

Answer 3

decrease height
so check height and weight every 6 months
aslocauses tachycardia,hypertension,decreadeds appetite,alopecia..check pulseand bp every 6 months

Question 4

doxycycline se(use for acne)

diclofenac long term use can cause MI,aslo clarithromycin can cause MI & stroke

do not stop beta blockers suddenly due to risk of rebound MI

Answer 4

photosensitivity, nausea,
oesophagitis(pain on swallowing)=doxy use for sinusitis

Question 5

hearing loss

Answer 5

aspirin, erythromycin,gentamycin(macrolide), furosemide

Question 5

asthma meds se

Answer 5

beclomethasone=oral candida,altered taste and headache
montelukast=com diarrhea, then fever,h/a,nause…neuro=depression,suicide,irritability,obsessive compulsive beha,speech impairement
sodium cromoglycate use for exercise induced asthma=throat irritation,cough

Question 5

lithium

Answer 5

hypernatremia
confusion,tremor,vomiting
monitor sodium level before start and 6 monthly once satble

arpi and quitie = hyperglycemia, heperprolactemia